Active NPI
Leslie Darnell, DMD, MSD
- Periodontics
- Scottsdale, AZ
National Provider Identifier
1679986301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D010873
- Practice address
- 7425 E Shea Blvd Ste 110
Scottsdale, AZ 85260-6411 - Phone
- (480) 991-0090
- Fax
- (480) 951-2278
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D010873 | AZ | Primary |
Addresses
Primary practice location
7425 E Shea Blvd Ste 110
Scottsdale, AZ 85260-6411
Mailing address
7425 E Shea Blvd Ste 110
Scottsdale, AZ 85260-6411
Phone (480) 991-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2020 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010873 | AZ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1679986301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 E SHEA BLVD STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606411",
"telephone_number": "480-991-0090",
"fax_number": "480-951-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 E SHEA BLVD STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606411",
"telephone_number": "480-991-0090",
"fax_number": "480-951-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNELL",
"first_name": "LESLIE",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "D010873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.